Pathology · single question
Same HPV case — what was the ORIGIN of the lesion?
Show answer and explanation
Correct answer: B. Viral
- A. Bacterial oral lesions do not produce papillary exophytic growths with koilocytes.
- B. Oral papilloma with koilocytes on histopathology is definitively VIRAL in origin — caused by Human Papillomavirus (HPV). The patient history (smoked, worked a lot, lesion grew over 2 months, eventually bit into it) combined with papillary morphology and koilocytes confirms HPV etiology.
- C. Traumatic lesions include fibromas and traumatic ulcers — they would NOT show koilocytes on histopathology.
- D. Fungal oral lesions (candidiasis) present as white plaques or red areas — not papillary growths with koilocytes.